Bill Summary – FastDemocracy

SB 59 - AS INTRODUCED
                                             2021 SESSION
                                                                                             21-0894
                                                                                             04/05
SENATE BILL            59
AN ACT            relative to the collaborative care model service delivery method.
SPONSORS:         Sen. Sherman, Dist 24; Sen. Bradley, Dist 3; Sen. Rosenwald, Dist 13; Rep.
                  Marsh, Carr. 8; Rep. Woods, Merr. 23
COMMITTEE:        Health and Human Services
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                                               ANALYSIS
    This bill requires individual and group insurers to reimburse a primary care physician for the
treatment of mental health and substance use disorders provided through the psychiatric
collaborative care model.
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Explanation:     Matter added to current law appears in bold italics.
                 Matter removed from current law appears [in brackets and struckthrough.]
                 Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.
                                              SB 59 - AS INTRODUCED
                                                                                                 21-0894
                                                                                                 04/05
                                             STATE OF NEW HAMPSHIRE
                                   In the Year of Our Lord Two Thousand Twenty One
     AN ACT                  relative to the collaborative care model service delivery method.
             Be it Enacted by the Senate and House of Representatives in General Court convened:
      1 New Section; Accident and Health Insurance; Individual Coverage for Collaborative Care.
  Amend RSA 415 by inserting after section 6-aa the following new section:
      415:6-bb Individual Coverage for Collaborative Care.
          I. In this section:
              (a)    “Mental health and substance use disorder benefits” means benefits for the
  treatment of any condition or disorder that involves a mental health condition or substance use
  disorder that falls under any of the diagnostic categories listed in the mental disorders section of the
  current edition of the International Classification of Disease or that is listed in the mental disorders
  section of the most recent version of the Diagnostic and Statistical Manual of Mental Disorders.
             (b) “The Psychiatric Collaborative Care Model” means the evidence-based, integrated
 behavioral health service delivery method described at 81 Federal Register 80230.
         II. Each insurer that issues or renews any individual policy of accident or health insurance
 providing benefits for medical or hospital expenses, that provides coverage for mental health and
 substance use disorders, shall provide reimbursement to a primary care physician for such benefits
 for the treatment of mental health and substance use disorders that are delivered through the
 psychiatric collaborative care model, which includes the following treatment components:
             (a)    Initial psychiatric collaborative care management, first 70 minutes in the first
 calendar month of behavioral health care manager activities, in consultation with a psychiatrist
 consultant, and directed by a primary care physician, with the following required elements:
                   (1) Outreach to and engagement in treatment of a patient directed by the primary
 care physician.
                   (2) Initial assessment of the patient, including administration of validated rating
 scales, with the development of an individualized treatment plan.
                   (3)     Review by the psychiatrist consultant with modifications of the plan if
 recommended.
                   (4) Entering the patient in a registry and tracking patient follow-up and progress
 using the registry, with appropriate documentation, and participation in weekly caseload
 consultation with the psychiatrist consultant.
                   (5)     Provision of brief interventions using evidence-based techniques such as
 behavioral activation, motivational interviewing, and other focused treatment strategies.
                                           SB 59 - AS INTRODUCED
                                                   - Page 2 -
              (b)    Subsequent psychiatric collaborative care management, first 60 minutes in a
  subsequent month of behavioral health care manager activities, in consultation with a psychiatrist
  consultant, and directed by the primary care physician, with the following required elements:
                    (1) Tracking patient follow-up and progress using the registry, with appropriate
  documentation.
                    (2) Participation in weekly caseload consultation with the psychiatrist consultant.
                    (3) Ongoing collaboration with and coordination of the patient’s mental health care
  with the primary care physician and any other treating mental health providers.
                    (4) Additional review of progress and recommendations for changes in treatment, as
 indicated, including medications, based on recommendations provided by the psychiatrist consultant.
                   (5)   Provision of brief interventions using evidence-based techniques such as
 behavioral activation, motivational interviewing, and other focused treatment strategies.
                   (6)   Monitoring of patient outcomes using validated rating scales and relapse
 prevention planning with patients as they achieve remission of symptoms and other treatment goals
 and are prepared for discharge from active treatment.
             (c) Each additional 30 minutes in a calendar month of behavioral health care manager
 activities, in consultation with a psychiatrist consultant, and directed by the primary care physician
 for either initial or subsequent psychiatric collaborative care management.
     2 New Section; Accident and Health Insurance; Group Coverage for Collaborative Care. Amend
 RSA 415 by inserting after section 18-ee the following new section:
     415:18-ff Group Coverage for Collaborative Care.
         I. In this section:
             (a)    “Mental health and substance use disorder benefits” means benefits for the
 treatment of any condition or disorder that involves a mental health condition or substance use
 disorder that falls under any of the diagnostic categories listed in the mental disorders section of the
 current edition of the International Classification of Disease or that is listed in the mental disorders
 section of the most recent version of the Diagnostic and Statistical Manual of Mental Disorders.
             (b) “The Psychiatric Collaborative Care Model” means the evidence-based, integrated
 behavioral health service delivery method described at 81 Federal Register 80230.
         II. Each insurer that issues or renews any policy of group or blanket accident or health
 insurance providing benefits for medical or hospital expenses, that provides coverage for mental
 health and substance use disorders, shall provide reimbursement to a primary care physician for
 such benefits for the treatment of mental health and substance use disorders that are delivered
 through the psychiatric collaborative care model, which includes the following treatment
 components:
                                           SB 59 - AS INTRODUCED
                                                   - Page 3 -
             (a)     Initial psychiatric collaborative care management, first 70 minutes in the first
  calendar month of behavioral health care manager activities, in consultation with a psychiatrist
  consultant, and directed by a primary care physician, with the following required elements:
                    (1) Outreach to and engagement in treatment of a patient directed by the primary
  care physician.
                    (2) Initial assessment of the patient, including administration of validated rating
  scales, with the development of an individualized treatment plan.
                    (3)   Review by the psychiatrist consultant with modifications of the plan if
  recommended.
                   (4) Entering the patient in a registry and tracking patient follow-up and progress
 using the registry, with appropriate documentation, and participation in weekly caseload
 consultation with the psychiatrist consultant.
                   (5)   Provision of brief interventions using evidence-based techniques such as
 behavioral activation, motivational interviewing, and other focused treatment strategies.
            (b)     Subsequent psychiatric collaborative care management, first 60 minutes in a
 subsequent month of behavioral health care manager activities, in consultation with a psychiatrist
 consultant, and directed by the primary care physician, with the following required elements:
                   (1) Tracking patient follow-up and progress using the registry, with appropriate
 documentation.
                   (2) Participation in weekly caseload consultation with the psychiatrist consultant.
                   (3) Ongoing collaboration with and coordination of the patient’s mental health care
 with the primary care physician and any other treating mental health providers.
                   (4) Additional review of progress and recommendations for changes in treatment, as
 indicated, including medications, based on recommendations provided by the psychiatrist consultant.
                   (5)   Provision of brief interventions using evidence-based techniques such as
 behavioral activation, motivational interviewing, and other focused treatment strategies.
                   (6)   Monitoring of patient outcomes using validated rating scales and relapse
 prevention planning with patients as they achieve remission of symptoms and other treatment goals
 and are prepared for discharge from active treatment.
            (c) Each additional 30 minutes in a calendar month of behavioral health care manager
 activities, in consultation with a psychiatrist consultant, and directed by the primary care physician
 for either initial or subsequent psychiatric collaborative care management.
    3 Health Service Corporations; Applicable Statutes. Amend RSA 420-A:2 to read as follows:
    420-A:2 Applicable Statutes. Every health service corporation shall be governed by this chapter
 and the relevant provisions of RSA 161-H, and shall be exempt from this title except for the
 provisions of RSA 400-A:39, RSA 401-B, RSA 402-C, RSA 404-F, RSA 415-A, RSA 415-F, RSA 415:6,
 II(4), RSA 415:6-g, RSA 415:6-k, RSA 415:6-m, RSA 415:6-o, RSA 415:6-r, RSA 415:6-t, RSA 415:6-u,
                                          SB 59 - AS INTRODUCED
                                                  - Page 4 -
  RSA 415:6-v, RSA 415:6-w, RSA 415:6-x, RSA 415:6-y, RSA 415:6-z, RSA 415:6-a1, RSA 415:6-bb,
  RSA 415:18, V, RSA 415:18, XVI and XVII, RSA 415:18, VII-a, RSA 415:18-a, RSA 415:18-i, RSA
  415:18-j, RSA 415:18-o, RSA 415:18-r, RSA 415:18-t, RSA 415:18-u, RSA 415:18-v, RSA 415:18-w,
  RSA 415:18-y, RSA 415:18-z, RSA 415:18-aa, RSA 415:18-bb, RSA 415:18-cc, RSA 415:18-dd, RSA
  415:18-ee, RSA 415:18-ff, RSA 415:22, RSA 417, RSA 417-E, RSA 420-J, and all applicable
  provisions of title XXXVII wherein such corporations are specifically included. Every health service
  corporation and its agents shall be subject to the fees prescribed for health service corporations
  under RSA 400-A:29, VII.
      4 Health Maintenance Organizations; Statutory Construction. Amend RSA 420-B:20, III to read
 as follows:
         III. The requirements of RSA 400-A:39, RSA 401-B, RSA 402-C, RSA 404-F, RSA 415:6-g,
 RSA 415:6-m, RSA 415:6-o, RSA 415:6-r, RSA 415:6-t, RSA 415:6-u, RSA 415:6-v, RSA 415:6-w, RSA
 415:6-x, RSA 415:6-y, RSA 415:6-z, RSA 415:6-a1, RSA 415:6-bb, RSA 415:18, VII-a, RSA 415:18,
 XVI and XVII, RSA 415:18-i, RSA 415:18-j, RSA 415:18-r, RSA 415:18-t, RSA 415:18-u, RSA 415:18-
 v, RSA 415:18-w, RSA 415:18-y, RSA 415:18-z, RSA 415:18-aa, RSA 415:18-bb, RSA 415:18-cc, RSA
 415:18-dd, RSA 415:18-ee, RSA 415:18-ff, RSA 415-A, RSA 415-F, RSA 420-G, and RSA 420-J shall
 apply to health maintenance organizations.
     5 Effective Date. This act shall take effect July 1, 2021.
Statutes affected: 
Introduced: 420-A:2, 420-B:20
latest version: 420-A:2, 420-B:20